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Home My WebLink AboutEHPR-2-10-3910.TIF THIS IS NOT A PERMIT Case # EHPR-2-10-3910 CATAWBA COUNTY HEALTH DEPARTMENT v Plan Review Application for Environmental Services 1842 ski Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR SOLOMON MONSEUR SOLOMON MONSEUR 1386 PEAR DR 1386 PEAR DR CONOVER NC 28613 CONOVER NC 28613 828-446-8205 828-446-8205 NAME TO APPEAR ON PERMIT SOLOMON MONSEUR Pin#: 373319612911 SITE ADDRESS: 1386 PEAR DR, Conover, NC DIRECTIONS: HERMAN SIPE RD/ RIGHT INTO ORCHARD HILL SUB./ PEAR DR. / 1 ST LOT ON LEFT/ LOT 4 NAME of SUBDIVISION: ORCHARD HILL Lot # 4 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.529 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 45 X 38 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 2 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees I st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: PVT ACCESSORY BUILDING 10 X 16 IN REAR YARD AREA Has any grading, removal, or addition of soil been done to this property? If so, describe NONE Are there easements/right-of-ways recorded on this property? NONE Type of Water Supply: Individual Well Community Well Municipal X Semi-Public I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is transferable and may be eligible for a non-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any presentation by you of house or structure location should conform to applicable setbacks. Date: _ )7 w Signature of Applicant or Agent / An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 10 Improvement Permit Fee 02/17/2010 $150.00 Rear 5 TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 02/17/10 13:26 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check V New Well Permit E] Replacement Well ❑ Well Abandonment ❑ I . Name to Appear on Permit S6 to &L O n Aa , 2. Permit Requested By aR&f-po .M.oP-se-u--r Business Phon~ej Address 1~e G 6--s-e- D t- Ctn. A)L Home Phone dad /Sly ~G S 3. Property Owner 1~ YVVZ~. Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase i~-- Property Address o vr(t V- rL-- t K~\ ( C) t Directions to Property: 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House ✓ Mobile Home Dimension of Structure Bedrooms* *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confinned by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increase in the ftiture. Basement: ye61 P Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub yes no Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees Ist 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes o If so, describe: (u e %S v T c~ 8. Has any grading, removal, or addition of soil been done to 't is property? Yes / No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes / No 10. Is a public water supply available on or adjacent to the above property? Yes / No Check type that is available: [ ] Community well [ ] Semi-public well [ ] County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 1 I . Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well I understand that this is a formal application for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure location should conform to applicable setbacks. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PRO RTY, THERE IS AN ADDITIONAL CHARGE.** c Z 1-7 Date Signature of Owner or Agent Catawba County, North Carolina This map product ivas prepared from the Catawba County, NC, Geographic Information System. N Catmvba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba Countypromotes and recommends the independent verification of any data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3733-19-61-2911 1 inch = 60 feet Prepared for: 150 ~ 262, 4 ~O I---- 0') 1 I 6 cn LO 10076 2096 Q V-\ I-- 1 N 130 258,11 co ,9, 150 4 128.11 5 o 5 0 3 co 672 291.1 - - o j 3921 150 X15 \ 104.65- u,0 U~ 150 100.41 10, 15i 9. 5, l n ednesday, February 17, 2010 12:53 PM ~ THIS IS NOT A LEGAL DOCUMENT W,~a CATAWBA COUfbTY.NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3733-19-61-2911 Name: MONSIEUR SOLOMON NEIL Name2: Address: 1386 PEAR DR Address2: City: CONOVER State: NC Zip: 28613-8023 Account: 210419 Calc Acreage: 0.53 Tax Map: 3102 01004 LR K: 400061 Deed Book: 2829 Deed Page: 0406 Subdivision Name: ORCHARD HILL Subdivision Block: Lots: 4 Plat Book: 33 Plat Page: 81 Building Number: 1386 Street Name: PEAR DR Site Zip: 28613 Township: CLINES Fire Code: CONOVER RURAL City Code: COUNTY State Road: Total Bldgs Value: $93,400 Land Value: $14,200 Total Value: $107,600 Year Built: 1994 Year Remodeled: Last Sale Date: 4/16/2007 Last Sale Amount: $110,000 Neighborhood: 61 Watershed: Watershed Split: Voter Precinct: P7 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: NEWTON CONOVER Elementary School: SHUFORD Middle School: NEWTON CONOVER High School: NEWTON CONOVER School Split: NO P&Z Case Number: Census Tract 2010: 010202 Census Block 2010: 2004 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Wednesday, February 17, 2010 12:53 PM "*Op.,Permit and/or Cert. Op. Required (Must be completed prior to final) ~W CATAYV yBA COUNTY HtEALTH DEPARTMENT (104) 465-8270 Q Lot Eval. Improve. Permit X Repair Permit Cert. of Comp. Permit I\ Oper. Permit Owner/Agent V Lc(~ ~t2C Phone Address Subdivision t ..2 fict~ tom" Section/Block/Phase Lot#_ Pr~JVtG~v Q 'QCu L•o.t Size Directions: b LP/ea_,~_ Ge J, Facility: House Mobile Home Business Other: Tax Map #`O 0 - Z 1 Multi-family Other Zoning Approval # '0 3'53"2< Bedrooms Seats Employees Application Rate &.4- GPD Flow k,0 Hot Tub or Spa yes/a4 Special Fixtures 100% Repair Area fie' /no REPAIR NOTICE: Basement yes/0 Basement Plumbing yes/®. REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private Public DAYS FROM DATE OF PERMIT. Type of System: Trench_LK Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank IQ00 Pump Tank Nitrification Field: Total Square Feet 60 Depth of Stone lZ/Ae4 Bed Size_ Trench Width S `t-~• Total Length of All Trenches 300 Number of Trenches b* Individual Trench Length r1,1 75/:I-~4,eet on Center Maximum Trench Depth Distance of Nearest Well Lot Evaluation: Approved yes/no (Void After 24 months) Topo % Slope Sketch of lot Evaluation Site - System Design - Final Texture Structure p de t ~l 5 Clay Min. ( ~u \ Soil Wetness r r j~,c~ Soil Depth I a1/ / / # Restric. Hoz. at Available space yes/no Overall Class S PS U I E Comments. l N I~ , Septic Tank Contractors MUST contact the ! Sanitarian BEFORE changing permit. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** Permit Date (Improvement Permit void a ter 60 months) Owner/Agent ~e - GU------_ Sanitarian ~ Zet ` ~ Installed By Date 3-9V Sanitari f (Note any changes/information in red or by sketch on back) *******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY. THERE******** IS AN ADDITIONAL $25 CHARGE. White-Office Blue-Bldg. Insp. Comp. Yellow-Owner/Agent Green-Bldg. Insp. I.P. A CATAWBA COUNTY, NC I 00-A South West Blvd PLAN INVOICE Newton, NC 28658- - F--~ (828)465-8399 Wednesday, February 17, 2010 18 4 Z sM www.catawbacountync.gov Plan Case: EHPR-2-10-3910 Invoice Number: INV-2-10-259672 Environmental Health Plan Review Invoice Date: 02/17/2010 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 02/17/2010 Cash -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 pL~nnn:ficr~;54Ic2d'~ ~i%~?-dehd-a's0~-Z2Rlt!~h90?~l}.rpt 02/17/2010 13:23